Chest pain indicative of cardiac problems.HeartEncyclopedia Entry for Angina :Angina - discharge. You were having angina. Angina is chest pain, chest pressure, often associated with shortness of breath. You had this problem when your heart was not getting enough blood and oxygen. You may not have had a heart attack.You may feel sad. You may feel anxious and that you have to be very careful about what you do. All of these feelings are normal. They go away for most people after 2 or 3 weeks. You may also feel tired when you leave the hospital. You should feel better and have more energy 5 weeks after you are discharged from the hospital.Know the signs and symptoms of angina: You may feel pressure, squeezing, burning, or tightness in your chest. You may also have pressure, squeezing, burning, or tightness in your arms, shoulders, neck, jaw, throat, or back. Some people may feel discomfort in their back, shoulders, and stomach area. You may have indigestion or feel sick to your stomach. You may feel tired and be short of breath, sweaty, lightheaded, or weak. You may have these symptoms during physical activity, such as climbing stairs, walking uphill, lifting, and engaging in sexual activity. You may have symptoms more often in cold weather. You can also have symptoms when you are resting, or when wake you up from your sleep. Ask your health care provider how to treat your chest pain when it happens. Take it easy at first. You should be able to talk easily when you are doing any activity. If you cannot, stop the activity. Ask your provider about returning to work. You may need to work less, at least for a while. If heavy lifting or hard manual labor is part of your job, you may need to change the kind of work you do. Your provider may refer you to a cardiac rehabilitation program. This will help you learn how to slowly increase your exercise. You will also learn how to take care of your heart disease.Try to limit how much alcohol you drink. Ask your provider when it is OK to drink, and how much is safe. DO NOT smoke cigarettes. If you do smoke, ask your provider for help quitting. DO NOT let anyone smoke in your home. Learn more about what you should eat for a healthier heart and blood vessels. Avoid salty and fatty foods. Stay away from fast-food restaurants. Your provider can refer you to a dietitian, who can help you plan a healthy diet. Healthy diet Try to avoid stressful situations. If you feel stressed or sad, tell your provider. They can refer you to a counselor. Ask your provider about sexual activity. Men should not take medicines or any herbal supplements for erection problems without checking with their provider first. These drugs are not safe when used with nitroglycerin.Have all of your prescriptions filled before you go home. You should take your drugs the way you have been told. Ask your provider if you can still take other prescription drugs, herbs, or supplements you have been taking. Take your drugs with water or juice. DO NOT drink grapefruit juice (or eat grapefruit), since these foods may change how your body absorbs certain medicines. Ask your provider or pharmacist about this. People who have angina often receive the drugs below. But sometimes these drugs may not be safe to take. Talk with your provider if you are not already taking one of these drugs: Antiplatelet drugs (blood thinners), such as aspirin , clopidogrel (Plavix), prasugrel (Efient), or ticagrelor (Brilinta) Other medicines, such as warfarin (Coumadin), to help keep your blood from clotting Beta-blockers and ACE inhibitor medicines, to help protect your heart Statins or other drugs to lower your cholesterol Never just stop taking any of these drugs. DO NOT stop taking any other drugs you may be taking for diabetes, high blood pressure, or any other medical problems. If you are taking a blood thinner, you may need to have extra blood tests to make sure your dose is correct.Call your provider if you feel: Pain, pressure, tightness, or heaviness in the chest, arm, neck, or jaw Shortness of breath Gas pains or indigestion Numbness in your arms Sweaty, or if you lose color Lightheaded Changes in your angina may mean your heart disease is getting worse. Call your provider if your angina: Becomes stronger Occurs more often Lasts longer Occurs when you are not active or when you are resting If drugs do not help ease your angina symptoms as well as they used to.Chest pain - discharge; Stable angina - discharge; Chronic angina - discharge; Variant angina - discharge; Angina pectoris - discharge; Accelerating angina - discharge; New-onset angina - discharge; Angina-unstable - discharge; Progressive angina - discharge; Angina-stable - discharge; Angina-chronic - discharge; Angina-variant - discharge; Prinzmetal angina - discharge.Healthy diet Healthy diet.Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014;64(24):e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718. Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2012;126(25):e354-e471. PMID: 23166211 www.ncbi.nlm.nih.gov/pubmed/23166211. O Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2013;127(4):529-555. PMID: 23247303 www.ncbi.nlm.nih.gov/pubmed/23247303. Sabatine M, Cannon CP. Approach to the patient with chest pain.Encyclopedia Entry for Angina :Angina - what to ask your doctor. What are the signs and symptoms that I am having angina? Will I always have the same symptoms? What are the activities that can cause me to have angina? How should I treat my chest pain, or angina, when it happens? When should I call the doctor? When should I call 911? How much exercise or activity can I do? Do I need to have a stress test first? Is it safe for me to exercise on my own? Where should I exercise, inside or outside? Which activities are better to start with? Are there activities or exercises that are not safe for me? How long and how hard can I exercise? When can I return to work? Are there limits to what I can do at work? What should I do if I feel sad or very worried about my heart disease? How can I change the way I live to make my heart stronger? What is a heart-healthy diet? Is it OK to ever eat something that is not heart healthy? What are some ways to eat healthy when I go to a restaurant? Is it OK to drink any alcohol? Is it OK to be around other people who are smoking? Is my blood pressure normal? What is my cholesterol and do I need to take medicines for it? Is it OK to be sexually active? Is it safe to use sildenafil (Viagra), vardenafil (Levitra), or tadalafil (Cialis)? What medicines am I taking to treat or prevent angina? Do they have any side effects? What should I do if I miss a dose? Is it ever safe to stop any of these medicines on my own? If I am taking aspirin, clopidogrel (Plavix), ticagrelor (Brilinta), prasugrel (Effient), or another blood thinner, is it OK to take ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), or other pain medicines? It is OK to take omeprazole (Prilosec) or other medicines for heartburn?.What to ask your doctor about angina and heart disease; Coronary artery disease - what to ask your doctor.Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC/AHA/AATS/PCNA/SCAI/STS focused update of the guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, and the American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2014;64(18):1929-1949. PMID: 25077860 www.ncbi.nlm.nih.gov/pubmed/25077860. Morrow DA, Boden WE. Stable ischemic heart disease.Encyclopedia Entry for Angina :Angina - when you have chest pain. You may feel pressure, squeezing, burning, or tightness in your chest. You may also have pressure, squeezing, burning, or tightness in your arms, shoulders, neck, jaw, throat, or back. Some people may have different symptoms, including shortness of breath, fatigue, weakness, and back, arm, or neck pain. This applies especially to women, older people, and people with diabetes. You may also have indigestion or be sick to your stomach. You may feel tired. You may be short of breath, sweaty, lightheaded, or weak. Most times, people have angina when they are exposed to cold weather. People also feel it during physical activity. Examples are climbing stairs, walking uphill, lifting something heavy, or having sex.Sit, stay calm, and rest. Your symptoms will often go away soon after you stop activity. If you are lying down, sit up in bed. Try deep breathing to help with the stress or anxiety. If you do not have nitroglycerin and your symptoms are not gone after resting for 5 minutes, call 9-1-1 right away. Your health care provider may have prescribed nitroglycerin tablets or spray for severe attacks. Sit or lie down when you use your tablets or spray. When using your tablet, place the pill between your cheek and gum. You can also put it under your tongue. Allow it to dissolve. DO NOT swallow it. When using your spray, do not shake the container. Hold the container close to your open mouth. Spray the medicine onto or under your tongue. DO NOT inhale or swallow the medicine. Wait for 5 minutes after the first dose of nitroglycerin. If your symptoms are not better, are worse, or return after going away, call 9-1-1 right away. The operator who answers will give you further advice about what to do. (Note: your provider may have given you different advice about taking nitroglycerin when you have chest pain or pressure. Some people will be told to try 3 nitroglycerin doses five minutes apart before calling 9-1-1.) DO NOT smoke, eat, or drink for 5 to 10 minutes after taking nitroglycerin. If you do smoke, you should try to quit. Your provider can help.After your symptoms have gone away, write down a few details about the event. Write down: What time of day the event took place What you were doing at the time How long the pain lasted What the pain felt like What you did to relieve your pain Ask yourself some questions: Did you take all of your regular heart medicines the right way before you had symptoms? Were you more active than normal? Did you just have a large meal? Share this information with your provider at your regular visits. Try not to do activities that strain your heart. Your provider may prescribe medicine for you to take before an activity. This can prevent symptoms.Call 9-1-1 if your angina pain: Is not better 5 minutes after taking nitroglycerin Does not go away after 3 doses of the medicine (or as directed by your provider) Is getting worse Returns after the medicine had helped Also call your provider if: You are having symptoms more often. You are having angina when you are sitting quietly or are not active. This is called rest angina. You are feeling tired more often. You are feeling faint or lightheaded. Your heart is beating very slowly (less than 60 beats a minute) or very fast (more than 120 beats a minute), or it is not steady. You are having trouble taking your heart medicines. You have any other unusual symptoms.Acute coronary syndrome - chest pain; Coronary artery disease - chest pain; CAD - chest pain; Coronary heart disease - chest pain; ACS - chest pain; Heart attack - chest pain; Myocardial infarction - chest pain; MI - chest pain.Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC guideline for the management of patients with non-ST-elevation acute coronary syndromes: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. J Am Coll Cardiol. 2014;64(24):e139-e228. PMID: 25260718 www.ncbi.nlm.nih.gov/pubmed/25260718. Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. Circulation. 2012;126(25):e354 e471. PMID: 23166211 www.ncbi.nlm.nih.gov/pubmed/23166211. O Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation. 2013;127(4):529-555. PMID: 23247303 www.ncbi.nlm.nih.gov/pubmed/23247303. Sabatine MS, Cannon CP. Approach to the patient with chest pain.Encyclopedia Entry for Angina :Angina. Angina - discharge Angioplasty and stent - heart - discharge Antiplatelet drugs - P2Y12 inhibitors Aspirin and heart disease Being active after your heart attack Being active when you have heart disease Butter, margarine, and cooking oils Cardiac catheterization - discharge Cholesterol - drug treatment Controlling your high blood pressure Dietary fats explained Fast food tips Heart bypass surgery - discharge Heart bypass surgery - minimally invasive - discharge Heart disease - risk factors Heart failure - discharge Heart failure - home monitoring Low-salt diet Mediterranean diet.Boden WE. Angina pectoris and stable ischemic heart disease.